Dr John Shelton Conner Jr, MD | |
777 Hospital Way, Pocatello, ID 83201-5175 | |
(208) 233-0607 | |
Not Available |
Full Name | Dr John Shelton Conner Jr |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 777 Hospital Way, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871524256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | M7585 (Idaho) | Primary |
Entity Name | Rocky Mountain Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851808133 PECOS PAC ID: 7911267133 Enrollment ID: O20180208002103 |
Mailing Address | Practice Location Address |
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Dr John Shelton Conner Jr, MD Po Box 64568, Phoenix, AZ 85082-4568 Ph: (208) 417-7569 | Dr John Shelton Conner Jr, MD 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 233-0607 |
Kenneth Ryan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Randall Fowler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Jordon Marshall, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Emergency Department, Pocatello, ID 83201 Phone: 208-239-1801 | |
Dr. Morgan Newel Anderson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Charles O Garrison, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1125 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-1151 Fax: 208-237-9721 | |
Dr. Andrew Lee Vincent, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-417-7569 Fax: 480-421-9899 | |
Nikola Charleen Radlach-barnack, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 |